Yang X B, Gu Y D
Institute of Hand Surgery, Huashan Hospital, Shanghai Medical University, China.
J Hand Surg Br. 2000 Aug;25(4):382-4. doi: 10.1054/jhsb.2000.0397.
Eighty-four cases of free second toe, multiple toe or second metatarsophalangeal joint transfers were studied by case review and follow-up. The function of the donor foot had recovered completely within 6 months in 89% of patients. The wounds on the donor foot healed in 2-3 weeks in 90% of patients. Slight numbness on the dorsal aspect of the donor foot, intolerance to cold, mild reduction in push-off, scar tenderness and pain or swelling occurred in only a few patients and generally were not considered of significance. Multiple toe transfers created more donor problems in terms of healing and appearance. Some foot deformities with plantar callosities were observed at long term review. However, all patients were capable of work and normal activities.
通过病例回顾和随访研究了84例游离第二趾、多趾或第二跖趾关节移植病例。89%的患者供足功能在6个月内完全恢复。90%的患者供足伤口在2至3周内愈合。仅少数患者出现供足背侧轻度麻木、不耐寒、蹬地力量轻度减弱、瘢痕压痛及疼痛或肿胀,一般认为无重要意义。多趾移植在愈合和外观方面产生的供区问题更多。长期随访观察到一些伴有足底胼胝的足部畸形。然而,所有患者均能够工作和进行正常活动。